Physical Therapists / ALBANY, NY (Onsite)- 2 years

Title : Physical Therapists

Location : ALBANY, NY

Duration : 2 years

Job Description

Shift Days / Time

8 : 30am-5pm

Position Description :

• Conduct comprehensive review of Durable Medical Equipment, Prosthetics, Orthotics, and Supply requests for Medicaid recipients to determine if the service falls within the scope of coverage of the Medicaid Program and NYS Regulation.
• Professional clinical knowledge and judgement used to render decisions that ensure the requested item is appropriate to meet the individual's medical needs.
• Actively involved in the Fair Hearing process by providing supporting evidence in written format and represents the NYS Medicaid Prior Approval Department via telephone.
• Knowledgeable of NYCRR Title 10 and 18 regulations. Utilizes national standards for procedure and diagnosis coding, reviews appropriate combinations of medical services and is instrumental in identifying methods to prevent fraud and abuse.
• Works closely with physicians, outside stakeholders, and Medicaid members via written and telephonic correspondence.

Additional Skill Level, Experience or Other Requirements :